Average salary: $149,946 /yearly
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...Canfield Ohio 44406
Work authorization: US Citizen or Green Card only
No relocation
The specialized role of a claim appeal and grievance examiner includes the review of disputes from members and providers tied to how a claim transaction was processed. This team...
Suggested
Relocation
$93.4k - $116.8k
...Overview
Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness requirements and accuracy standards...
Suggested
Holiday work
Full time
Work experience placement
Relocation bonus
Flexible hours
...Notice of Vacancy - Deadline Extension
Reference Number : DOE-019-24
Title : Planning Associate 2 (Appeals Coordinator, State Board of Examiners)
Range/Title Code : P28/72624
Salary : $82,643.36 - $117,769.55
Position Number: 012210
Issue Date : February...
Suggested
Temporary work
...from the agency
Open to IRS Career/Career-Conditional, Treasury/IRS CTAP, & IRS RPP employees
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Duties
WHAT IS THE APPEALS (AP) DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas:...
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Local area
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Monday to Friday
...Duties
WHAT IS THE APPEALS (AP)DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following specialty areas:
* Independent Office of Appeals: Case & Operations Support/Policy Planning Quality & Analysis/AQMS
The...
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Local area
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...volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
The Appeals Coordinator is responsible for the timely and accurate triaging all appeals, grievances, and complaints that come in to the department...
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Work experience placement
Flexible hours
...Appeals Specialist I
Remote within WA, ID, OR, and UT
Primary Job Purpose:
Responsible for all activities associated with requests for Provider Billing Disputes and Appeals. Includes analysis, preparation, evaluation of prior determinations, coordination...
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...Claims Examiner
75 Vanderbilt Ave, Staten Island, NY 10304, USA
Req #816
Monday, April 29, 2024
Centers Plan for Healthy Living... ...for provider education.
+ Review provider disputes or appeals and provide a detailed analysis of findings.
+ Conduct claim...
Suggested
Hourly pay
Join a team of dynamic, results oriented professionals!
Named among "The World's Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among "Great Places to Work" by Becker's Hospital...
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Flexible hours
...Chief Examiner
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Class Title
Chief Examiner
Class Code
5348
Salary
$127,379.20 - $166,816.00 Annually... ...Service recruitment, examination, community outreach, transfers, and appeals regarding dismissal, demotion, suspension and disciplinary...
Suggested
Local area
Afternoon shift
...committed to improve the quality of care we deliver every day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS.
The Appeals Specialist is responsible for appealing all insurance denials and prepare relevant reports regarding trends in denials....
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Local area
...Grievance and Appeals Coordinator
75 Vanderbilt Ave, Staten Island, NY 10304, USA
Req #660
Friday, May 3, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision...
Suggested
Hourly pay
...Appeals Specialist
About the company and Appeals Specialist opportunity:
Our client is a law firm located in Cleveland, Ohio
Hybrid 1 day per week
Great health benefits, competitive PTO and retirement
Paid Maternity leave and tuition assistance
Essential...
Suggested
1 day per week
...each year.
Position Summary
Performs independent claims examination activities for the field or home offices. Analyzes claims with... ...investigation, settlement, and/or coverage denials of claims. Directs appeal process and handling of excess verdicts.
Reviews files and...
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Full time
Temporary work
Work from home
Home office
Night shift
Job Type
Full-time
Description
Job purpose
~ The Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment amount...
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Full time
Work experience placement
Local area
...time off
~ Eight Paid Holidays per year
~ Quarterly incentive plans
*The Akron, OH billing center has multiple openings for Appeals Representatives. These are remote, work-from-home positions*
JOB DESCRIPTION OVERVIEW:
~ The Denials & Appeals...
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Remote job
Work from home
...technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
As our Clinical Appeals Nurse , you will help our hospital clients by serving as an expert on appeals and denials management where claims were denied by...
For contractors
Local area
Remote job
...Appeals and Compliance Specialist
Starting Salary: $84,495 - $101,395
This position reports to the Executive Director and is responsible for managing complaints, informal resolution meetings, mediations, and appeals, ensuring compliance with state and federal laws...
Holiday work
Contract work
Work experience placement
Local area
Flexible hours
...given at interview stage.
WHAT YOU WILL DO:
The Accounts Examiner I performs entry-level accounts examination work. Work involves... ...hearings and before courts of jurisdiction.
* Participate in Appeals hearings to testify on actions taken during routine review of employer...
Full time
Work experience placement
Remote job
Relocation
Flexible hours
Monday to Friday
...appropriate.
Provide correction suggestions to other departments so the invoice can be resubmitted.
Provide coding direction to appeal invoices and/or submit appeals via payer website or fax, as directed.
Complete reconsideration letters as needed.
Complete...
Holiday work
Flexible hours
